Group Health
Group Health Insurance schemes provide health Insurance coverage for employees/ members and their dependents for hospitalization expenses due to illness, disease, or injury. The standard health Insurance that reimburses you the actual hospitalization cost of treating any disease offered by non-life insurers / standalone health insurers is popularly called retail health Insurance.
Coverage
- Expenses on hospitalization for a minimum period of 24 hours are admissible.
- Room and Boarding Expenses, Intensive Care Unit charges, Doctors fees, Nursing Fees, Surgical Fees, Operating Theatre, Anesthesia and their administration, Drugs and Medicines consumed on the premises, Hospital.
- Miscellaneous Services (such as laboratory, x-ray, diagnostic tests), Dressing, ordinary splints and plaster casts shall be reimbursed provided they are incurred in India within the policy period and up to the level of cover that the member is entitled to.
- Dependants of Employees can also be covered.
- There can also be a single Family Floater Limit rather than an individual limit per member.
- Other benefits like pre-existing diseases, maternity cover and baby cover can be offered under a Group Scheme from day one.
- Waiting periods apply for certain surgeries, or infections can also be waived off.
- The benefit of Corporate Buffer can also be chosen by the Company and can be utilized in case the individual sum insured is inadequate to cover all the expenses.
